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7easd pent orWa.(Corm designad for use on elite(12-p Ich)typowntor.) Form Approved.OMB No.2050-0039
<br /> UNIFORM HAZARDOUS, 1.Qencrator ID'Number 2.Page 1 of t Emergency Rasp=t PWo 4.JAanirostTrac:Mng Number
<br /> WASTF;MANIFRST CAD 9 819 6 7 6 8 0 1 (.8)'424-9300 15 8 7 0 x 4 JJ K I
<br /> 5,Gcneialaf s flame.rnd.airing Ad7ross Gamer W3 Silo • [f djl{omnr Ihan,malling address)
<br /> STOGKTON DODGE INC
<br /> 3333 AUTO CENTER CIRCLE • j
<br /> STOCYETQN CA 95212
<br /> GrruratorsFhana; 209 477-3668 l
<br /> f1.Trd reporter h(idnpony,rlvno U.S.EPA ID Number
<br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 IiI
<br /> ,r Trmspafter2-rAmpbny;Nagia,
<br /> U,$.EPA ID Number !
<br /> ;8:�019l l�rvNrone.end;$it�Addrrrs5. U.S.EPA 10 Number
<br /> .=�0 H,AIAMEDASTREEf
<br /> COMP.TON _ CA 90722 CAT 0 8 0 013 3 5 2
<br /> n Rhinos (310437-7100 -
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<br /> f4)$.fIS1 CQppriptiodirdgr0.propgr 5hipping llearr AHazmd Fuss,l4Nr(rnhar, 1D;COW nor; 11.Total: 12.Unll 13.Waste Coder
<br /> JM `• d;Errldt�lr lf�altiYll. No: TYPO Quantity, wuvaL +
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<br /> 11141993,WME FLWMMLE WASTE UQUID.,N.Q 5.,(DI E.SEl—
<br /> p�^ DOM D018 343 1
<br /> CAS UNE),3.PG 11 DM p V G
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<br /> EMER4MCY CONTACT CNE.TR � r,�,, 'V0 ,T INAiL;;{ R G9 RGP19B1:12&*PROFILE#9a1:
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<br /> t roirl ygap V isianilahr�ias a aft nt �ergo•alMall, YWI
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<br /> 141t�ii�?!tenpylR?dsr
<br /> Trtvrs{wj. 'sIAlFalu[Aall5.vidy)i tia,,dng US i
<br /> 17: RSilar
<br /> A* pi ufiRgociDfof sir
<br /> vtxi._ ri, �.r, .fir:•.. ,_
<br /> Tran FPrintedff)pcd:Name y ? j
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<br /> Iz.[T&SR00;,2Pdnlivui}•pt+iQ.,- _ _ !,_�.,: FSoZth 03Yr `"Year
<br /> 14 g trepaarcy 1r>dnt on Space EIQuantity,. ElTypa t,J Roaldrru . ❑'Padial Re)erdion D Full Rejection
<br /> . fA.raFlasDRr$mcnan#hxnber '
<br /> y. ri8b.Altcrrvks Fadlity[ar Gerwratar} US.FJ?Rle irvnibat
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<br /> h1�t�,Phone;
<br /> 1(Ic Sigau e.vf Allomnto FooAity(or GEnnralprl MonUl ' t7ay Year l
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<br /> N:i9:Hazardous WasteRepmtMarragemcnl Aielha¢Codaq p e.,oadcE ka IkFal dors waalo beahllnfil di�pasnk.and raEyrBnfl. a)
<br /> Jl�— 4
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<br /> 26-Dar Valnd Facility Owner or.Operator.Certification of receiptof.hazardbus materials emmred by die mardfetbexoq as Wed In Item 18a
<br /> Pr;rluwu ypcsl ua.e (gr abr v #k4% Uay Year
<br /> ,,rA Form 8700-22(Rev.3-05) Previous c0or's Oro obsoleto. DESIGNATED:FACILITY TO DESTINATION STATE (IF REQUIRED)
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